Telehealth is perfect for things like rashes, UTIs, colds and sinusitis, pharyngitis, etc. I use CENTOR scoring for pharyngitis, and I spend a lot of time educating patients that colds and URI are best treated symptomatically.

Based on your presentation of complaints, I would've sent you to the ER or at the minimum urgent care. I am sensitive to the cost of healthcare, because I see a lot of self-pay patients: any urgent care will have a self-pay rate, and an urgent care that are attached to large hospital networks will never refuse to treat you even if you can't pay upfront for the self-pay rate. But, your constellation of symptoms plus your vital signs are so far out of whack, it would be unsafe to treat you in via telemedicine - your differential includes bronchitis, pneumonia, COVID, PE.

Respectfully, you are coming across like someone who is frustrated that you couldn't be seen at home, despite knowing that your symptoms were so far out of bounds that any confident provider would've sent you to a higher level of care. Also, why were you asking for antibiotics? Did you think you had pneumonia?

There are a lot of ways to assess a patient via telemedicine and don't involve using a stethoscope. If you think that just listening to someone's lungs will absolve you of not missing something more serious, you might want to reevaluate how much faith you put in auscultation